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Wolverhampton Intellectual Repository and E-Theses > Research Institutes > Research Institute in Healthcare Science > Sport, Exercise and Health Research Group > Rheumatoid cachexia and cardiovascular disease

Please use this identifier to cite or link to this item: http://hdl.handle.net/2436/113489
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Title: Rheumatoid cachexia and cardiovascular disease
Authors: Metsios, Giorgos S.
Stavropoulos-Kalinoglou, Antonios
Panoulas, Vasileios F.
Sandoo, A.
Toms, T. E.
Nevill, Alan M.
Koutedakis, Yiannis
Kitas, George D.
Citation: Clinical and Experimental Rheumatology, 27(6); 985-988
Publisher: Clinical and Experimental Rheumatology Sas
Journal: Clinical and Experimental Rheumatology
Issue Date: 2009
URI: http://hdl.handle.net/2436/113489
Abstract: Objective. It has been frequently stated that rheumatoid cachexia (RC) associates with increased cardiovascular risk; however, no studies to date have investigated this. The aim of this study was to investigate the association of RC with multiple novel and classical cardiovascular disease (CVD) risk factors and the presence of established CVD in rheumatoid arthritis (RA). Methods. A total of 34 RA patients with RC (RC+RA) were identified from a database of 400 RA patients using published RC criteria and compared to the remaining patients (RA-RC) who did not fulfil RC criteria. All patients were assessed for fat and fat-free mass, albumin (indicator of catabolism), disease activity/severity, novel and classical risk CVD factors and established CVD. Results. Fat-free mass (kg) and albumin (g/L) were significantly decreased in RC+RA vs. RA-RC patients: 37.3(33.9–41.6) vs. 45.9(41.2–55.5), p<0.001 and 39.6±6.7 vs. 42.4±4.9, p=0.001). Percent body fat was not significantly different. No significant differences were detected in either the classical or novel CVD risk factors, 10-year CVD risk or the prevalence of established CVD. Conclusions. RC does not appear to be associated with worse CVD profile in RA patients, but this needs to be confirmed in prospective studies.
Type: Article
Language: en
Keywords: Rheumatoid arthritis
Rheumatoid cachexia
Body mass index
Obesity
Cardiovascular disease
Mortality
Morbidity
Prevalence
Medication
Fat-free mass
Body composition
ISSN: 0392-856X
Appears in Collections: Sport, Exercise and Health Research Group

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